DataLabs
datalabs.health made in the usa
DataLabs Facebook Wall   Like   Follow DataLabs on Twitter   Tweet  
Contact us Sign in |  Documentation | 
NPI Code Detail

MEDICARE: MATTHEW JOHN FETTY RBT

MEDICARE: MATTHEW JOHN FETTY RBT
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1171M00000XCase Manager/Care CoordinatorOH
2172V00000XCommunity Health Worker
3106S00000XBehavior TechnicianRBT-24-322945OH

General Provider Information

NPI Number : 1770300808
Entity Type Code : Individual
Provider Name (Legal Business Name) : MATTHEW JOHN FETTY RBT
Provider Business Mailing Address
First Line : 2359 KNOLLWOOD AVE
Second Line :
City : YOUNGSTOWN
State : OH
Zip : 44514-1525
Country : US
Telephone Number : 216-260-1405
Fax Number : 330-632-8823
Provider Business Practice Location Address
First Line : 850 HOWLAND WILSON RD NE
Second Line :
City : WARREN
State : OH
Zip : 44484-2116
Country : US
Telephone Number : 216-260-1405
Fax Number : 330-632-8823
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/20/2024
Last Update Date : 07/28/2025

Similar Medicare Providers

1629844659 — ASHLEY CHRISTINE OWEN LSW
Practice Location Address:
850 HOWLAND WILSON RD NE
WARREN, OH
44484-2116
Practice Phone: 216-260-1405
Practice Fax: 330-632-8823
1710560479 — MYRISA HORNBECK
Practice Location Address:
850 HOWLAND WILSON RD NE
WARREN, OH
44484-2116
Practice Phone: 216-260-1405
Practice Fax:
1033874474 — KENDRA N ROSS BA, QMHS
Practice Location Address:
850 HOWLAND WILSON RD NE
WARREN, OH
44484-2116
Practice Phone: 216-260-1405
Practice Fax: 330-632-8823
1669298493 — ROLANDO JERMAINE RANSOM BA
Practice Location Address:
850 HOWLAND WILSON RD NE
WARREN, OH
44484-2116
Practice Phone: 216-260-1405
Practice Fax: 330-632-8823
1750246120 — JUANITA MORRIS
Practice Location Address:
850 HOWLAND WILSON RD NE
WARREN, OH
44484-2116
Practice Phone: 216-260-1405
Practice Fax: 330-632-8823
1548201957 — GENERAL CARE SERVICES INC
Practice Location Address:
1 MAIN AVE
WARREN, PA
16365-2116
Practice Phone: 814-723-2455
Practice Fax: 814-723-6259

Directions to “ MATTHEW JOHN FETTY RBT” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.